NPIMap

Organization Active NPI

PCC LTD

  • Clinical Social Worker
  • Pasadena, MD
National Provider Identifier
1275615338
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PCC LTD
Practice address
8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Phone
(410) 360-4774
Fax
(410) 544-4928
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George M AndrewsNPI 1053499921
Title
Owner
Phone
(443) 591-0230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940

Mailing address

8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Phone (410) 360-4774

Other identifiers 7

IdentifierTypeStateIssuer
KG53PAOtherMDCAREFIRST BCBS
2133418OtherMDUNITED HEALTHCARE
900001569001OtherMDAPS HEALTHCARE
232380000OtherMDMAGELLAN BEHAVIORAL HEALT
R731OtherDCCAREFIRST BCBS NCA
0002226332OtherMDAETNA
503POtherMDMEDICARE PTAN

Other names 1

  • Pasadena Center for Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000674 MD Part B Supplier - Clinic/Group Practice 0042306201 Receives reassigned benefits from 12 practitioners
Practice locations: Pasadena, MD

National Provider Directory

National Provider Directory

Locations

8131 Ritchie Hwy
Ste G
Pasadena, MD 21122
Phone (410) 360-4774

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1275615338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY",
            "address_2": "SUITE G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "410-360-4774",
            "fax_number": "410-544-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY",
            "address_2": "SUITE G",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "410-360-4774",
            "fax_number": "410-544-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-591-0230"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KG53PA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2133418",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "900001569001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "232380000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS NCA",
            "identifier": "R731",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0002226332",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "503P",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Center for Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Center for Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.